Background: Numerous techniques have been developed for laparoscopic inguinal hernia repair in infants and children. The internal ring ligation is the main stay of repair. Although isolated ligation is considered the simplest and fastest way of repair, yet it carries a higher incidence of recurrence and complications. The objective of this study is to compare ligation only versus disconnection ligation of the hernial sac. Methods: Sixty-five patients with inguinal hernia were laparoscopically treated in the period from March 2015 to May 2017 at Mansoura University Children’s Hospital. Two techniques were used for repair, whether laparoscopic ligation of the internal ring (in 31 patients) or, disconnection of the sac with hook diathermy before ligation for the remaining 34 patients. Operative time, intra-operative complications, post-operative hydrocele formation, recurrence, testicular atrophy were compared. Results: In ligation only group, the operative time was significantly shorter (18±3 minutes) and (25±5 minutes) for unilateral and bilateral hernia respectively, than in disconnection ligation group (29±6 minutes) and (38±8 minutes). Only in the ligation only group, there were postoperative complications in the form of: hydrocele in two cases (4.6%) and recurrence in one case (2.3%). Conclusion: This study suggests that the ligation technique offers significant short operative time but carries a higher incidence of postoperative complications. Adding disconnection of the sac to the procedure increases the operative time but reduces the risk for complications.